Healthcare Provider Details

I. General information

NPI: 1992323943
Provider Name (Legal Business Name): JOSHUA DAVID ESCOE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 NEW YORK RD
PLATTSBURGH NY
12903-3981
US

IV. Provider business mailing address

602 MINER FARM RD
CHAZY NY
12921-3002
US

V. Phone/Fax

Practice location:
  • Phone: 518-561-3803
  • Fax:
Mailing address:
  • Phone: 661-904-1884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: